Musculoskeletal syndrome treated with global postural re-education in double-redo lung transplantation: a case report with an 8-month follow-up

Submitted: 16 December 2020
Accepted: 12 March 2022
Published: 3 May 2022
Abstract Views: 2274
PDF: 559
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Postoperative pain and persisting fatigue represent critical concerns for patients receiving lung transplantation. The purpose of this study was to illustrate the trajectory of symptoms in a patient who presented with a posttransplant musculoskeletal syndrome after double redo-lung transplantation and attended therapeutic sessions of global postural re-education during the symptomatic phase. A 32-year-old woman with interstitial lung disease underwent double lung transplantation. At 23 months, functional parameters deteriorated, and the patient was placed on the active list for a second double-lung transplantation. Twenty months after re-transplantation, the patient reported continuous thoracic-lumbar musculoskeletal pain exacerbated by moving or performing the standard motor activities. Lower body flexibility improved during the observation period changed from -10 cm to 0 cm at the Chair Sitand- Reach Test. Leg strength improved as well, and the patient was able to perform more repetitions at the Squat Test, improving from 14 to 39. Pain intensity changed from 7 to 4 on a numerical rating scale. We observed that outcomes strictly related to treatment, with lower body flexibility, pain intensity, and physical function improving over time. As a result global postural re-education proved to be effective in this patient.

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Seiler A, Klaghofer R, Ture M, et al. A systematic review of health-related quality of life and psychological outcomes after lung transplantation. J Heart Lung Transplant. 2017; 35: 195-202. DOI: https://doi.org/10.1016/j.healun.2015.07.003
Forsberg A, Claëson M, Dahlman GB, Lennerling A. Pain, fatigue and well-being one to five years after lung transplantation - a nationwide cross-sectional study. Scand J Caring Sci. 2018; 32: 971-8. DOI: https://doi.org/10.1111/scs.12537
Farquhar JM, Smith PJ, Snyder L, et al. Patterns and predictors of pain following lung transplantation. Gen Hosp Psychiatry. 2018; 50: 125-30. DOI: https://doi.org/10.1016/j.genhosppsych.2017.11.007
Fuller LM, Button B, Tarrant B, et al. Patients’ expectations and experiences of rehabilitation following lung transplantation. Clin Transplant. 2014; 28: 252-8. DOI: https://doi.org/10.1111/ctr.12306
Laurent Q, Michel-Cherqui M, Szekely B, et al. Prevalence, characteristics and preoperative predictors of chronic pain after double-lung transplantation: a prospective cohort study. J Cardiothorac Vasc Anesth. 2022; 36: 500-9. DOI: https://doi.org/10.1053/j.jvca.2021.07.041
Loxe SC, de Mello LS, Camara L, de Oliveira Braga Teixeira RH, de Góes Salveti M, Gomes Galas FB, et al. Chronic pain after lung transplantation and its impact on quality of life: a 4-year follow-up. Transplant Proc. 2020; 52: 1388-93. DOI: https://doi.org/10.1016/j.transproceed.2020.02.032
Wildgaard K, Iversen M, Kehlet H. Chronic pain after lung transplantation: a nationwide study. Clin J Pain. 2010; 26: 217-22. DOI: https://doi.org/10.1097/AJP.0b013e3181b705e4
Breil M, Chariot P. Muscle disorders associated with cyclosporine treatment. Muscle Nerve. 1999; 22: 1631-6. DOI: https://doi.org/10.1002/(SICI)1097-4598(199912)22:12<1631::AID-MUS3>3.0.CO;2-V
Ferreira GE, Barreto RG, Robinson CC, et al. Global Postural Reeducation for patients with musculoskeletal conditions: a systematic review of randomized controlled trials. Braz J Phys Ther. 2016; 20: 194-205. DOI: https://doi.org/10.1590/bjpt-rbf.2014.0153
Di Ciaccio E, Polastri M, Bianchini E, Gasbarrini A. Herniated lumbar disc treated with Global Postural Reeducation. A middle-term evaluation. Eur Rev Med Pharmacol Sci. 2012; 16: 1072-7.
Cavalcanti IF, Antonino GB, Monte-Silva KKD, et al. Global Postural Re-education in non-specific neck and low back pain treatment: A pilot study. J Back Musculoskelet Rehabil. 2020; 33: 823-8. DOI: https://doi.org/10.3233/BMR-181371
Bonetti F, Curti S, Mattioli S, et al. Effectiveness of a 'Global Postural Reeducation' program for persistent low back pain: a non-randomized controlled trial. BMC Musculoskelet Disord. 2010; 11: 285. DOI: https://doi.org/10.1186/1471-2474-11-285
Lawand P, Lombardi Júnior I, Jones A, Sardim C, Ribeiro LH, Natour J. Effect of a muscle stretching program using the global postural reeducation method for patients with chronic low back pain: a randomized controlled trial. Joint Bone Spine. 2015; 82: 272-7. DOI: https://doi.org/10.1016/j.jbspin.2015.01.015
Castagnoli C, Cecchi F, Del Canto A, et al. Effects in short and long term of Global Postural Reeducation (GPR) on chronic low back pain: a controlled study with one-year follow-up. Sci. World J. 2015; 2015: 271436. DOI: https://doi.org/10.1155/2015/271436
Pillastrini P, de Lima E Sá Resende F, Banchelli F, et al. Effectiveness of Global Postural Re-education in patients with chronic nonspecific neck pain: randomized controlled trial. Phys Ther. 2016; 96: 1408-16. DOI: https://doi.org/10.2522/ptj.20150501
Di Ciaccio E, Polastri M, Gasbarrini A. Cervical disc herniation: is the regression flawed by age? A case report. Int J Ther Rehabil. 2014; 20: 612-6. DOI: https://doi.org/10.12968/ijtr.2013.20.12.612
Vanti C, Generali A, Ferrari S, et al. [General postural rehabilitation in musculoskeletal diseases: scientific evidence and clinical indications]. Reumatismo. 2007; 59: 192-201.
Anastasilakis AD, Tsourdi E, Makras P, et al. Bone disease following solid organ transplantation: A narrative review and recommendations for management from The European Calcified Tissue Society. Bone. 2019; 127: 401-18. DOI: https://doi.org/10.1016/j.bone.2019.07.006
Graham BL, Steenbruggen I, Miller MR, et al. Standardization of spirometry 2019 update. An official American Thoracic Society and European Respiratory Society technical statement. Am J Respir Crit Care Med. 2019; 200: e70-e88. DOI: https://doi.org/10.1164/rccm.201908-1590ST
Vitacca M, Paneroni M, Baiardi P, et al. Development of a Barthel Index based on dyspnea for patients with respiratory diseases. Int J Chron Obstruct Pulmon Dis. 2016; 11: 1199-206. DOI: https://doi.org/10.2147/COPD.S104376
Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine (Phila Pa 1976). 2005; 30: 1331-4. DOI: https://doi.org/10.1097/01.brs.0000164099.92112.29
Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scale. J Clin Nurs. 2005; 14: 798-804. DOI: https://doi.org/10.1111/j.1365-2702.2005.01121.x
Hjermstad MJ, Fayers PM, Haugen DF, et al. Studies comparing numerical rating scales, verbal rating scales, and visual analogue scales for assessment of pain intensity in adults: a systematic literature review. J Pain Symptom Manage. 2011; 41: 1073-93. DOI: https://doi.org/10.1016/j.jpainsymman.2010.08.016
Rikli RE, Jones CJ. Senior fitness test manual. Champaign; Human Kinetics, 2001.
Australian College of Sport and Fitness. Strength test - squat, 2013. Accessed 21 January 2022. Available from: tinyurl.com/52sedtcn
Nande PJ, Vale SA. Fitness evaluation tests for competitive sports. 1st ed. Mumbai: Himalaya Publishing House; 2010.
Souchard P. Rééducation posturale globale. RPG - La méthode. 1st ed. Issy-les-Moulineaux: Elsevier Masson SAS; 2011.
Busch V, Magerl W, Kern U, Haas J, Hajak G, Eichhammer P. The effect of deep and slow breathing on pain perception, autonomic activity, and mood processing - an experimental study. Pain Med. 2012; 13: 215-28. DOI: https://doi.org/10.1111/j.1526-4637.2011.01243.x
Choi J, Hergenroeder AL, Burke L, et al. Delivering an in-home exercise program via telerehabilitation: a pilot study of lung transplant go (LTGO). Int J Telerehabil. 2016; 8: 15-26. DOI: https://doi.org/10.5195/ijt.2016.6201
Smeets R, Köke A, Lin CW, Ferreira M, Demoulin C. Measures of function in low back pain/disorders: Low Back Pain Rating Scale (LBPRS), Oswestry Disability Index (ODI), Progressive Isoinertial Lifting Evaluation (PILE), Quebec Back Pain Disability Scale (QBPDS), and Roland-Morris Disability Questionnaire (RDQ). Arthritis Care Res (Hoboken). 2011; 63: S158-73. DOI: https://doi.org/10.1002/acr.20542

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How to Cite

Polastri, M., Paganelli, G., Dolci, G., Di Ciaccio, E., & Prediletto, I. (2022). Musculoskeletal syndrome treated with global postural re-education in double-redo lung transplantation: a case report with an 8-month follow-up. Reumatismo, 74(1). https://doi.org/10.4081/reumatismo.2022.1386

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